RxDoctor Payments Data

Sarah Powell, MD

Otolaryngology · Dakota Dunes, SDNPI 1861442915

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (54.3%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Inspire Medical Systems, Inc. accounts for 85.1% of it on its own, with 20 other manufacturers making up the rest. 2025 is the largest year on record at $16,492, 6.0 times the $2,735 reported in 2019. Among otolaryngology clinicians in SD with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$31,093in general payments, 2019–2025

Across 177 payments — averaging $175.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Inspire Medical Systems, Inc.$26K
  • Aerin Medical Inc.$2K
  • Stryker$2K
  • Sanofi$359
  • Sanofi-aventis U.S. LLC$175
  • Smith+Nephew$158
  • plus $745 from 15 others

What the payments were for

  • Consulting fees$16,89654%
  • Speaking & faculty fees$2,9009%
  • Travel & lodging$5,83019%
  • Food & beverage$5,29317%
  • Education$1751%

General payments by program year

19
20
21
22
23
24
25

Who reported the general payments

Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.

What the payments were tied to

Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.

How this compares

$31,093 in reported general payments places this provider in the 95th percentile of 39 otolaryngology providers in South Dakota.

See all otolaryngology providers in South Dakota

Medicare billing

Part B allowed, 2024
$141,596
Medicare patients
344
Services billed
1,152

What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.

Most prescribed under Part D

DrugClaimsCost to plans & patients
Azelastine Hcl55$1,065
Pantoprazole Sodium160$1,006
Ipratropium Bromide42$872
Dexamethasone Sodium Phosphate13$500
Fluticasone Propionate39$211
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav13$193
Methylprednisolone30$186
Montelukast Sodium32$167
Ciprofloxacin Hcl14$153
Nortriptyline Hcl27$122
Famotidine20$102
Gabapentin14$78
Prednisone39$78
Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip12$59

Paid to pharmacies, not to this prescriber.

Other otolaryngology in Dakota Dunes

See the full list for South Dakota

Where these figures come from

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